KEITH RAPHAEL DORAM M.D.
NPI 1720306756
Internal Medicine - Geriatric Medicine in Westfield, IN

Active since May 14, 2010PECOS EnrolledAccepts Medicare Assignment
17300 WESTFIELD BLVD STE 110, WESTFIELD, IN 46074(317) 763-1019(317) 763-1082 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Raphael Doram M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH RAPHAEL DORAM M.D. (NPI 1720306756) is an individual geriatric medicine provider in Westfield, Indiana, licensed in Indiana (01079816A) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1720306756
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameKEITH RAPHAEL DORAMCredential: M.D.
Location Address17300 WESTFIELD BLVD STE 110Westfield, IN 46074-1363
Mailing Address12315 Hancock St Ste 24Carmel, IN 46032-5885 · (317) 708-3732 · Fax (888) 316-7962
Fax(317) 763-1082
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1983
Enumeration DateMay 14, 2010
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
NPI 1720306756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses Licensed in IN · 01079816A Licensed in CA · G052927 Licensed in PA · MD067852L Licensed in DE · C1-0007713
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
17300 WESTFIELD BLVD STE 110, Westfield, IN 46074

Secondary Practice Locations 7

Location 12100 Douglas BlvdRoseville, CA 95661-3804 · Phone (916) 781-4627 · Fax (916) 783-9909
Location 2441 N Wabash AveMarion, IN 46952-2612 · Phone (765) 660-6670 · Fax (765) 671-3392
Location 31000 E Main StDanville, IN 46122-1948 · Phone (317) 718-7971 · Fax (317) 718-7973
Location 42001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 338-9067 · Fax (317) 338-9087
Location 51907 W Sycamore StKokomo, IN 46901-5148 · Phone (765) 236-8888 · Fax (765) 266-8880
Location 62015 Jackson StAnderson, IN 46016-4337 · Phone (765) 683-3213 · Fax (765) 683-3229
Location 7395 Westfield RdNoblesville, IN 46060-1425 · Phone (317) 776-7407 · Fax (317) 776-7361

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keith Raphael Doram M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991086985
PECOS Enrollment IDI20190607001843
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
263 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services81 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
99 services17 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
83 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services45 patients
Fluorescence wound imaging for bacteria, first anatomic site 0598T
Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.
32 services26 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Decatur County Memorial Hospital

Critical Access Hospitals · Greensburg, IN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151332
Location720 N Lincoln StGreensburg, IN 47240 · Decatur County
Emergency services Birthing friendly

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers15 claims1,480 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers25 claims1,380 services$0.37 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims128 services$19.94 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
4 suppliers66 claims1,195 services$6.99 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
3 suppliers39 claims444 services$8.80 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims213 services$0.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
17300 WESTFIELD BLVD STE 110
WESTFIELD, IN 46074
Nurse Practitioner (Family)
17300 WESTFIELD BLVD STE 110
WESTFIELD, IN 46074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Doram's NPI number?

The NPI number for Keith Doram is 1720306756. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Keith Doram located?

Keith Doram practices at 17300 Westfield Blvd Ste 110, Westfield, IN 46074. The listed phone number is (317) 763-1019.

What is Keith Doram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Keith Doram enrolled in Medicare?

Yes. Keith Doram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keith Doram accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Keith Doram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Keith Doram affiliated with any hospitals?

According to CMS data, Keith Doram is affiliated with Ascension St Vincent Kokomo, Marion General Hospital, Ascension St Vincent Anderson, Decatur County Memorial Hospital and Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Keith Doram was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.